Citlali Gonzalez Camarena
Behavior Technician in Huntington Beach, CA. Individual provider (NPI-1).
NPI number1164022208
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1164022208
- Entity type
- Individual (NPI-1)
- Name
- Citlali Gonzalez Camarena
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4952 Warner Ave Ste 300Huntington Beach, CA 92649-5506
Phone 714-872-7763
Mailing address
357 Monterey Way Apt C.Placentia, CA 92870-5851
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